13-1040364,
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: NORCROSS
Project Address: 30111 3RD PL SW
FILE
Project Description: GAS TO GAS FURNACE CHANGEOUT
0 Mechanical
Permit #: 13 -104036 -00 -ME
Inspection Request Line: (253) 835-3050
3t VD
Parcel Number: 259970 0020
caner
Applicant
Contractor
DIANA NORCROSS
RONALD GLATZ
ROSSOE ENERGY SYSTEMS INC
30111 3RD PL SW
ROSSOE ENERGY SYSTEMS, INC.
(GENERAL)
FEDERAL WAY WA 98023
9367 RAINIER AVE S
ROSSOES101LL (5/25/14)
SEATTLE WA 98118-
9367 RAINIER AVE S
SEATTLE WA 98118
Additional., Permit- Information
Is this an Online or O.T.C. application?.................Yes
Mechanical Fixtures
Furnaces ......................................... 1
PERMIT EXPIRES Tuesday, March 11, 2014
Permit Issued on Thursday, September 12, 2013
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date:
CITY OF
Federal Way
PERMIT #:
TVIS CARD IS TOIN ON-SITE f
Construction In rec�tion Record
INSPECTION REQUE(253) 835-3050
13 -104036 -00 -ME Address: 30111 3RD PL SW
Project: DIANA NORCROSS FEDERAL WAY, WA 98023-3907
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as
possible (read left to right, top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your
inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
Mechanical Rough -in (4165)
Gas Piping (4125)
Final Electrical
Approved
Final - Mechanical (4065)
Approved
By
Approved to release test
Approved
By
Date
By
Date
By
hL, Date IQ — V _
Rough Electrical
Approved
Final Electrical
Approved
Right of Way -^
Approved
By
Date
By
Date
By
Date